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    OpenPayerNPI Medicare & MedicaidCommunity Medical Services Arizona-private, LLC
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    Community Medical Services Arizona-private, LLC — Billing Profile & Reimbursement Data

    NPI 1942892856 · Phoenix, AZ · Methadone Clinic

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    Community Medical Services Arizona-private, LLC is a methadone clinic provider located in Phoenix, Arizona. This profile covers 2 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Medical Services Arizona-private, LLC
    Address2516 East University Drive
    CityPhoenix
    StateAZ
    ZIP85034
    TaxonomyMethadone Clinic
    NPI EnumeratedFebruary 11, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.1M
    Medicare$151.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…610$240$143.8K
    G2077Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and…70$110$7.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067420380$160$104K
    G207752060$110$7.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2010Comprehensive medication services, per 15 minutes105,350$10$1.1M
    T1016Case management, each 15 minutes41,650$20$708K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.7,050$50$352.6K
    H0004Behavioral health counseling and therapy, per 15 minutes9,250$30$286.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,480$60$212.4K
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)101,040$1$202.1K
    H0031Mental health assessment, by non-physician1,220$130$164K
    T1003Lpn/lvn services, up to 15 minutes11,290$10$135.4K
    H0033Oral medication administration, direct observation1,400$10$16.8K
    T1002Rn services, up to 15 minutes510$10$6.1K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2010Comprehensive medication services, per 15 minutes308071,620$10$1.7M
    T1016Case management, each 15 minutes1681,1602,110$30$1.2M
    H0004Behavioral health counseling and therapy, per 15 minutes2821,1501,700$90$1M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)277062,920$1$408.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.591703,560$30$397.9K
    H0031Mental health assessment, by non-physician259810280$120$360.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…7883,040750$50$343.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,9982,780600$50$267K
    T1003Lpn/lvn services, up to 15 minutes281001,870$10$192.6K
    H0033Oral medication administration, direct observation26303,350$30$177K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Medical Services Arizona-private, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$117.3K$18.4M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$59.9K$16.1M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$101K$14.9M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$164.3K$14.2M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$134.4K$12.9M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$107.1K$11.8M
    Premier Care Of Wisconsin, LLC.WIMethadone Clinic$204.8K$11.2M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$75.3K$10.8M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$86.1K$10.7M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$92.1K$10.3M

    Nearby Providers

    Other providers in the same ZIP code as Community Medical Services Arizona-private, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sonora Quest Laboratories LLCAZClinical Medical Laboratory$57.8M$298.1M
    Ability360, Inc,AZIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$274M
    City Of Phoenix ArizonaAZParamedic$4.9M$138.9M
    Founders Healthcare, LLCAZDurable Medical Equipment & Medical Supplies$0$66.9M
    ComtransAZNon-emergency Medical Transport (VAN)$0$40.1M
    Phi Health, L.L.C.AZAir Ambulance$3.6M$35.7M
    F.a.c.t.s. Behavioral HealthAZCommunity/Behavioral Health Agency$0$21.3M
    Pathology Specialist Of Arizona, LLPAZAnatomic Pathology & Clinical Pathology Physician$0$16.7M
    Apogee Mental Health ServicesAZBehavior Analyst$0$12.4M
    Empact - Suicide Prevention CenterAZCommunity/Behavioral Health Agency$0$11.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Community Medical Services Arizona-private, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Community Medical Services Arizona-private, LLC — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona